Provider Demographics
NPI:1346264710
Name:RANCK, CHRISTINE L (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:L
Last Name:RANCK
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 W END AVE
Mailing Address - Street 2:#1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3631
Mailing Address - Country:US
Mailing Address - Phone:212-873-8079
Mailing Address - Fax:917-441-7737
Practice Address - Street 1:235 W END AVE
Practice Address - Street 2:#1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3631
Practice Address - Country:US
Practice Address - Phone:212-873-8079
Practice Address - Fax:917-441-7737
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043600-11041C0700X, 102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst